NPIMap

Organization Active NPI

Neaai - Mwhca LLC

  • Allergy & Immunology Physician
  • Leominster, MA
National Provider Identifier
1700496684
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
NEAAI - MWHCA LLC
Practice address
79 Erdman Way Ste 101
Leominster, MA 01453-1805
Phone
(978) 537-4805
NPI assigned
Aug 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jordan E Scott, MD
Title
President/Physician
Phone
(978) 537-4805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

79 Erdman Way Ste 101
Leominster, MA 01453-1805

Mailing address

79 Erdman Way Ste 101
Leominster, MA 01453-1805
Phone (978) 537-4805

National Provider Directory

National Provider Directory

Locations

79 Erdman Way
#101
Leominster, MA 01453
Phone (978) 537-4805

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1700496684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ERDMAN WAY STE 101",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531805",
            "telephone_number": "978-537-4805",
            "fax_number": "978-537-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ERDMAN WAY STE 101",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531805",
            "telephone_number": "978-537-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAAI - MWHCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "978-537-4805",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.